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WEST JEFFERSON HOSPITAL FOUNDATION: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
WEST JEFFERSON HOSPITAL FOUNDATION (EIN 27-0082033)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-16
IRS object ID
201503209349315130
Schema version
2014v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-11-16T18:21:03-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN721202445PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1POSTLETHWAITE & NETTERVILLEBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1ONE GALLERIA BLVD STE 2100AddressLine1Txt
CityMETAIRIECityNm
State AbbreviationLAStateAbbreviationCd
ZIP70001ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN270082033EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WEST JEFFERSON HOSPITAL FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWESTBusinessNameControlTxt
Phone5043491272PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 MEDICAL CENTER BLVDAddressLine1Txt
CityMARREROCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70072ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDIANE SIETAPersonNm
Person TitleSECRETARY/TREASURERPersonTitleTxt
Phone5043491272PhoneNum
Signature2015-11-16SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSHARON CASSIEREPreparerPersonNm
PTINP00543368PTIN
Phone5048375990PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHARLES FREDERICKPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 MEDICAL CENTER BLVDAddressLine1Txt
CityMARREROCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70072ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$307,904GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.WJMC.ORG/FOUNDATIONWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateLALegalDomicileStateCd
Activity Or MissionAS A CHARITABLE SUPPORT ORGANIZATION OF OUR COMMUNITY HOSPITAL, THE WJH FOUNDATION IS DEDICATED TO RAISING PRIVATE FUNDS TO ENHANCE PATIENT CARE. THE FUNDS RAISED BY THE WJH FOUNDATION PROVIDE ADDITIONAL INVESTMENT IN THE MEDICAL CENTER'S MISSION OF SERVICE AND A VISION OF IMPROVEMENT IN THE HEALTH STATUS OF OUR COMMUNITY IN PARTNERSHIP WITH THE MEDICAL STAFF.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers450TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$77,701PYContributionsGrantsAmt
CY Contributions Grants$141,459CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$9,795PYInvestmentIncomeAmt
CY Investment Income$6,477CYInvestmentIncomeAmt
PY Other Revenue-$37,294PYOtherRevenueAmt
CY Other Revenue$12,335CYOtherRevenueAmt
PY Total Revenue$50,202PYTotalRevenueAmt
CY Total Revenue$160,271CYTotalRevenueAmt
PY Grants And Similar Paid$116,553PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$73,108CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$50,744CYTotalFundraisingExpenseAmt
PY Other Expenses$64,094PYOtherExpensesAmt
CY Other Expenses$83,714CYOtherExpensesAmt
PY Total Expenses$180,647PYTotalExpensesAmt
CY Total Expenses$156,822CYTotalExpensesAmt
PY Revenues Less Expenses-$130,445PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,449CYRevenuesLessExpensesAmt
Total Assets BOY$817,555TotalAssetsBOYAmt
Total Assets EOY$874,290TotalAssetsEOYAmt
Total Liabilities BOY$1,790TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,260TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$815,765NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$869,030NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE ORGANIZATION WAS ORGANIZED TO SUPPORT THE JEFFERSON PARISH HOSPITAL DISTRICT NO. 1, STATE OF LOUISIANA D/B/A WEST JEFFERSON MEDICAL CENTER, INCLUDING, FOR SUCH PURPOSES (A) ACCEPTING GRANT FUNDS FOR PROGRAMS INCLUDING NEUROSCIENCE, CARDIAC, CHILDREN'S AND OTHER, (B) ACCEPTING DONATIONS FROM EVENTS IN SUPPORT OF CANCER CARE AND OTHER ILLNESSES, (C) ACCEPTING CASH AND EQUIPMENT FROM DONORS IN THE COMMUNITY, AND/OR (D) MAKING DISTRIBUTIONS TO WEST JEFFERSON MEDICAL CENTER OR TO ANY OTHER ORGANIZATION THAT QUALIFIES AS AN EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, OR THE CORRESPONDING SECTION(S) OF THE FEDERAL TAX CODE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$42,980ExpenseAmt
Grant$42,980GrantAmt
DescMAMMOGRAPHY SCREENING: THE MAMMOGRAPHY SCREENING PROGRAM PROVIDES FUNDS FOR PATIENTS AT A PERCENTAGE OF POVERTY LEVEL WHO OTHERWISE WOULD NOT SEEK OUT AND/OR HAVE RECOMMENDED MAMMOGRAM SCREENING. THE NUMBER OF PATIENTS ASSISTED IN 2014 WAS 530. IN ADDITION, THE LYMPHEDEMA PROGRAM SUPPORTS PATIENTS FOLLOWING BREAST CANCER SURGERY WITH LYMPH SWELLING WHO OTHERWISE WOULD NOT BE ABLE TO PURCHASE APPLIANCES TO ASSIST WITH MINIMIZING, REDUCING OR OTHERWISE REMOVING SOMETIMES PAINFUL SWELLING PREDISPOSING THEM TO OTHER BODILY CONCERNS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$21,336ExpenseAmt
Grant$21,336GrantAmt
DescCANCER FUND: THIS FUND PRIMARILY CONDUCTS CANCER SUPPORT GROUPS AND THE PINK TEA ANNUAL EVENT TO RAISE AWARENESS AND CELEBRATE SURVIVORSHIP.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$4,500ExpenseAmt
Grant$4,500GrantAmt
DescMISCELLANEOUS PROGRAMS: CARE HOUSE, EMPLOYEE BENEVOLENT FUND, ALZHEIMER'S FUND, ETC.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$4,292ExpenseAmt
Grant$4,292GrantAmt
DescWEST JEFFERSON MEDICAL CENTER: FOR THE CONTINUED SUPPORT OF WEST JEFFERSON MEDICAL CENTER.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$4,292TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$4,292TotalOtherProgSrvcGrantAmt
Total Program Service Expenses$73,108TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of ArtYes (1)CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document7IRPDocumentCnt
IRP Document W2 G1IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MADELINE BROWNINGBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5043491272PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 MEDICAL CENTER BLVDAddressLine1Txt
CityMARREROCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70072ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
GAREY ALIMIA
BOARD MEMBER1.00Yes (X)$0$0$0
JEAN KASS CONNICK
BOARD MEMBER0.50Yes (X)$0$0$0
CHARLES FREDERICK
BOARD MEMBER2.00Yes (X)$0$0$0
CHARLES G JONES
BOARD MEMBER2.00Yes (X)$0$0$0
WOODY OGE
BOARD MEMBER1.00Yes (X)$0$0$0
STANTON SALATHE
BOARD MEMBER1.00Yes (X)$0$0$0
DOUGLAS A SILVA
BOARD MEMBER0.50Yes (X)$0$0$0
RUDY SAMPEY
EMERITUS BOARD MEMBER1.00Yes (X)$0$0$0
MIKE VIRA
BOARD MEMBER1.00Yes (X)$0$0$0
KAREN WOOD WARD
PRESIDENT2.00Yes (X)$0$0$0Yes (X)
JUDY SULLIVAN
VICE PRESIDENT2.00Yes (X)$0$0$0Yes (X)
STEVE BROWN THROUGH JAN 2014
SECRETARY - TREASURER1.00Yes (X)$0$11,990$497Yes (X)
JACK STUMPF
IMMEDIATE PAST PRESIDENT1.00Yes (X)$0$0$0Yes (X)
DIANE SIETA JAN 2014-CURRENT
SECRETARY/TREASURER1.00Yes (X)$0$77,249$4,975Yes (X)
JENNIFER STEELE
EXECUTIVE DIRECTOR-FOUNDATION30.00$0$106,692$7,345Yes (X)
MADELINE BROWNING
CFO2.50$0$135,312$21,005Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$331,243TotReportableCompRltdOrgAmt
Total Other Compensation$33,822TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$67,159FundraisingAmt
All Other Contributions$74,300AllOtherContributionsAmt
Noncash Contributions$34,201NoncashContributionsAmt
Total Contributions$141,459TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,477TotalRevenueColumnAmt
Exclusion$6,477ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$159,668FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$67,159ContriRptFundraisingEventAmt
Fundraising Direct Expenses$144,930FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,738TotalRevenueColumnAmt
Exclusion$14,738ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$300GrossSalesOfInventoryAmt
Cost Of Goods Sold$2,703CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$2,403TotalRevenueColumnAmt
Related Or Exempt Func Income-$2,403RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$160,271TotalRevenueColumnAmt
Related Or Exempt Func Income-$2,403RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$21,215ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$25,628TotalAmt
Program Services$25,628ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$47,480TotalAmt
Program Services$47,480ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$7,200TotalAmt
Management And General$7,200ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$50,744TotalAmt
Fundraising$50,744FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,559TotalAmt
Management And General$8,559ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,548TotalAmt
Management And General$4,548ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$217TotalAmt
Management And General$217ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,726TotalAmt
Management And General$4,726ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,887TotalAmt
Management And General$2,887ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
OUTSIDE CONTRACT SERVIC$3,237$3,237
BANK FEES$774$774
MAINTENANCE$547$547
MEMBERSHIP DUES$275$275

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$156,822TotalAmt
Program Services$73,108ProgramServicesAmt
Management And General$32,970ManagementAndGeneralAmt
Fundraising$50,744FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$27,952BOYAmt
EOY$56,587EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$429,038BOYAmt
EOY$461,496EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,750BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,607BOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,325BOYAmt
EOY$500EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$99,121LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$89,964LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,952BOYAmt
EOY$9,157EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$347,931BOYAmt
EOY$346,550EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$817,555BOYAmt
EOY$874,290EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,790BOYAmt
EOY$5,260EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,790BOYAmt
EOY$5,260EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$558,538BOYAmt
EOY$625,804EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$257,227BOYAmt
EOY$243,226EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$815,765BOYAmt
EOY$869,030EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$817,555BOYAmt
EOY$874,290EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$3,449ReconcilationRevenueExpnssAmt
Donated Services And Use Fclts$49,816DonatedServicesAndUseFcltsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$609,654CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$117,216CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$66,962CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$77,701CurrentTaxYearMinus1YearAmt
Current Tax Year$141,459CurrentTaxYearAmt
Total$1,012,992TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$609,654CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$117,216CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$66,962CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$77,701CurrentTaxYearMinus1YearAmt
Current Tax Year$141,459CurrentTaxYearAmt
Total$1,012,992TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$379,065SubstantialContributorsTotAmt
Public Support Total170$633,927PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$575CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus1 Year$9,795CurrentTaxYearMinus1YearAmt
Current Tax Year$6,477CurrentTaxYearAmt
Total$16,847TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$104,478CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,550CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$86,745CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$103,829CurrentTaxYearMinus1YearAmt
Current Tax Year$159,668CurrentTaxYearAmt
Total$458,270TotalAmt
FieldValueIRS element (for citing)
Total Support$1,488,109TotalSupportAmt
Gross Receipts Rltd Activities$3,949GrossReceiptsRltdActivitiesAmt
Public Support CY1700.42600PublicSupportCY170Pct
Public Support PY1700.39820PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp

FieldValueIRS element (for citing)
Assets Included$340,000AssetsIncludedAmt
FieldValueIRS element (for citing)
Collection Used Pub ExhibitionYes (X)CollectionUsedPubExhibitionInd
Solicited Assets SaleYes (1)SolicitedAssetsSaleInd

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$74,150OtherCostOrOtherBasisAmt
Depreciation$73,835DepreciationAmt
Book Value$315BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,971OtherCostOrOtherBasisAmt
Depreciation$16,129DepreciationAmt
Book Value$8,842BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$9,157TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
WORK OF ART$340,000
OTHER CURRENT ASSET$6,550
FieldValueIRS element (for citing)
Total Book Value Other Assets$346,550TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$218,428TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$49,816DonatedServicesAndUseFcltsAmt
Other Revenue$8,341OtherRevenueAmt
Revenue Not Reported$58,157RevenueNotReportedAmt
Revenue Subtotal$160,271RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$160,271TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$165,163TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$8,341OtherExpensesIncludedAmt
Expenses Not Reported$8,341ExpensesNotReportedAmt
Expenses Subtotal$156,822ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$156,822TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART III, LINE 4:THE COLLECTION CONSISTS OF THE BLUE DOG PAINTING. THE ORGANIZATION IS ONLY HOLDING WORKS OF ART.
PART X, LINE 2:THE FOUNDATION IS A NONPROFIT CORPORATION ORGANIZED UNDER THE LAWS OF THE STATE OF LOUISIANA. THE FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AND QUALIFIES AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION AS DEFINED IN SECTION 509(A) OF THE CODE. IT IS EXEMPT FROM LOUISIANA INCOME TAX UNDER THE AUTHORITY OF R.S. 47:121(5). THE FOUNDATION APPLIES A "MORE-LIKELY-THAN-NOT" RECOGNITION THRESHOLD FOR ALL TAX UNCERTAINTIES. THIS APPROACH ONLY ALLOWS THE RECOGNITION OF THOSE TAX BENEFITS THAT HAVE A GREATER THAN FIFTY PERCENT LIKELIHOOD OF BEING SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES. THE FOUNDATION HAS REVIEWED ITS TAX POSITIONS AND DETERMINED THERE WERE NO OUTSTANDING OR RETROSPECTIVE TAX POSITIONS WITH LESS THAN A 50% LIKELIHOOD OF BEING SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:ADDITIONAL SPECIAL EVENT EXPENSES SEPARATELY STATED 5,638. COSTS OF T-SHIRTS SOLD 2,703.
PART XII, LINE 2D - OTHER ADJUSTMENTS:ADDITIONAL SPECIAL EVENT EXPENSES SEPARATELY STATED 5,638. COSTS OF T-SHIRTS SOLD 2,703.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event12014 FALL FESTIVALEvent1Nm
Gross Receipts Event1$207,551GrossReceiptsEvent1Amt
Charitable Contri Event1$64,619CharitableContriEvent1Amt
Gross Revenue Event1$142,932GrossRevenueEvent1Amt
Cash Prizes Event1$2,494CashPrizesEvent1Amt
Non Cash Prizes Event1$4,404NonCashPrizesEvent1Amt
Rent Facility Costs Event1$4,725RentFacilityCostsEvent1Amt
Food And Beverage Event1$15,341FoodAndBeverageEvent1Amt
Entertainment Event1$9,054EntertainmentEvent1Amt
Other Direct Expenses Event1$108,328OtherDirectExpensesEvent1Amt
Event2THE RED MAPLE EVENTEvent2Nm
Gross Receipts Event2$5,819GrossReceiptsEvent2Amt
Charitable Contri Event2$2,540CharitableContriEvent2Amt
Gross Revenue Event2$3,279GrossRevenueEvent2Amt
Non Cash Prizes Event2$584NonCashPrizesEvent2Amt
Gross Receipts Total$213,370GrossReceiptsTotalAmt
Charitable Contributions Tot$67,159CharitableContributionsTotAmt
Gross Revenue Total Events$146,211GrossRevenueTotalEventsAmt
Cash Prizes Total Events$2,494CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$4,988NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$4,725RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$15,341FoodAndBeverageTotalEventsAmt
Entertainment Total Events$9,054EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$108,328OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$144,930DirectExpenseSummaryEventsAmt
Net Income Summary$1,281NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
WEST JEFFERSON MEDICAL CENTER
1101 MEDICAL CENTER BLVDMARREROLA70072726014898501(C)(3)$4,292GENERAL OPERATING EXPENSES.
WEST JEFFERSON MEDICAL CENTER
1101 MEDICAL CENTER BLVDMARREROLA70072726014898501(C)(3)$21,336COPAYS FOR ONCOLOGY PATIENTS ASSISTED 20 PATIENTS.

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
EMPLOYEE BENEVOLENT FUND9$4,500
KOMEN IMAGING- CANCER530$42,980

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationGRANTS ARE UNRESTRICTED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonMADELINE BROWNINGPersonNm
TitleCFOTitleTxt
Base Compensation Filing Org$0BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$135,312CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$5,252DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$15,753NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$0TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$156,317TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule M IRS990ScheduleM

Books And Publications BooksAndPublicationsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$2,500NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOSTMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (12 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)FOOD & BEVERAGE5$13,351COST
Yes (X)AUCTION ITEMS/PRIZES- MISCELLANEOUS11$6,178COST
Yes (X)SUPPLIES/MATERIALS10$2,727COST
Yes (X)SIGNAGE1$2,500COST
Yes (X)FIRE EXTINGUISHERS1$1,625COST
Yes (X)LINENS1$1,500COST
Yes (X)AUCTION ITEMS/PRIZES- HOTEL/RESTAURANT5$1,489COST
Yes (X)GIFT CARDS3$1,025COST
Yes (X)DECORATIONS3$825COST
Yes (X)GIFT BASKETS3$270COST
Yes (X)T-SHIRTS1$175COST
Yes (X)CHILDRENS TOYS1$36COST
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS USING THE NUMBER OF CONTRIBUTIONS TO REPORT CONTRIBUTIONS RECEIVED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 8BTHERE ARE NO COMMITTEES.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS SENT TO THE BOARD MEMBERS FOR THEIR REVIEW BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12CALL DIRECTORS, OFFICERS AND EMPLOYEES ARE SUBJUST TO THE CONFLICT OF INTEREST POLICY. THERE ARE PERIODIC REVIEWS OF TRANSACTIONS INVLOVING ANY SIGNIFICANT EXPENDITURES AND CONFLICTS. ANY PERSON WITH A CONFLICT DOES NOT PARTICIPATE IN DISCUSSION OR DECISION MAKING PROCESSES.
FORM 990, PART VI, SECTION C, LINE 19ALL INFORMATION IS AVAILABLE UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1WEST JEFFERSON MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 MEDICAL CENTER BLVDAddressLine1Txt
CityMARREROCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70072ZIPCd
FieldValueIRS element (for citing)
EIN726014898EIN
Primary ActivitiesPROVIDES HEALTH CARE TO RESIDENTS OF JEFFERSON PARISHPrimaryActivitiesTxt
Legal Domicile StateLALegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 3PublicCharityStatusTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
WEST JEFFERSON MEDICAL CENTER
B$21,336CASH
WEST JEFFERSON MEDICAL CENTER
O$102,537PERCENTAGE OF SALARIES